Infratemporal fossa (ITF) tumors are rare in children and may present with a variety of symptoms. Teratomas are neoplasms derived from the 3 germ layers and approximately 6% to 10% are within the head and neck. Our study discusses one of the first reported cases of teratoma in the ITF in a pediatric patient. A 3-year-old girl presents with 2 years of recurrent monthly left periorbital swelling accompanied by fevers, skin discoloration, and pain. Prior episodes were treated with antibiotics with incomplete resolution. Imaging revealed a cystic lesion centered in the ITF. She was taken for endoscopic endonasal biopsy of the lesion and had no complications. Pathology revealed a mature teratoma composed primarily of pancreatic tissue. Providers should consider masses such as teratoma in the differential for ITF tumors and periorbital edema unresponsive to typical treatment.
Keyphrases
- ultrasound guided
- fine needle aspiration
- single cell
- chronic pain
- high resolution
- young adults
- neuropathic pain
- soft tissue
- computed tomography
- spinal cord injury
- single molecule
- smoking cessation
- depressive symptoms
- replacement therapy
- photodynamic therapy
- mass spectrometry
- combination therapy
- physical activity
- spinal cord
- solar cells